Yunkyung Heo
Nurse Practitioner, Family in Los Banos, CA. Individual provider (NPI-1).
NPI number1881135705
StatusActive
Last updated in NPPESApr 14, 2021
Details
- NPI
- 1881135705
- Entity type
- Individual (NPI-1)
- Name
- Yunkyung Heo
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 10, 2017
- Certification date
- Apr 14, 2021
- Last updated
- Apr 14, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 95005973 | CA | Yes |
Practice location
1045 5th StLos Banos, CA 93635-4204
Phone 209-827-4747 · Fax 209-827-5831
Mailing address
1045 5th StLos Banos, CA 93635-4204
Phone 209-827-4747 · Fax 209-827-5831
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 14 Family Nurse Practitioner providers in Los Banos · All 574 providers in Los Banos
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